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The purpose of this study was to i describe the weight, weight-related perceptions and lifestyle behaviours of hospital-based nurses, and ii explore the relationship of demographic, health, weight and job characteristics with lifestyle behaviours.


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Obesity is a public health challenge and a source of discrimination for individuals; nurses can help to tackle it by providing patient-centred, non-judgemental care. This article comes with a handout for a journal club discussion. Obesity is a major public health issue and the of obese people in healthcare settings is increasing.

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Please location to help us display the correct information for your area. His problem is knowing when to stop eating. We tried giving him smaller portions on a smaller plate. We eat a very healthy diet, no junk food. Follow the title link for free download. Thank you for reaching out.

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The issues you describe are shared by so many families with loved ones on the autism spectrum. Helping children adopt healthy eating behaviors is a struggle for many parents, and developmental challenges can add to the difficulty.

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Last year, research by the U. Centers for Disease Control found that nearly a third of children with autism are severely overweight, compared to 13 percent of typically developing children. Research has found several factors that contribute to the problem. They include a tendency for reduced physical activity and poor nutrition.

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In addition, weight gain can result as a side effect of certain behavioral medicines. We know that parents and other caregivers need guidance to understand and respond to these complex issues. By your measurements, your son has a body mass index BMI of This is above the 99th percentile for boys his age. BMI does not tell the whole story. However, it can be a general indicator of risk for serious, weight-related medical problems affecting the heart, lung and liver.

A team approach to treatment Helping on the spectrum with weight issues is complex. So we urge you to seek professional support in tackling the issue. Patients over the 95th percentile are often seen in a multi-specialty weight treatment clinic. The care team typically includes a physician, specialty nurse, dietician, physical activity specialist and psychologist.

We would recommend a team that has special training to work with overweight youth, including those with developmental challenges. The physician in the team can evaluate your son for possible metabolic conditions and weight-related side effects from medications. We know that certain behavioral medications such as antipsychotics e.

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The doctor can discuss possible alternatives to these medicines. In addition, the doctor can evaluate for hyperphagia. Some research has suggested that this may from hormonal imbalance.

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The dietician on the team can help de an eating plan for your son. He or she can help you understand how much food and what kinds of food your son needs.

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It sounds like you are already off to a good start with healthful food choices for your entire family. The psychologist on the team can identify and address eating-related behavioral issues. Examples include impulsive eating, eating-related rituals, refusal to stop eating, sneaking food and so on.

This often includes setting and enforcing clear limits. The psychologist can also work with your son to improve his hunger awareness. Hunger awareness is the ability to know when you are becoming hungry and need to eat. It is equally important in realizing when you are full and need to stop. Strategies to try at home Meanwhile, here are a few strategies you can try at home:. Get him focused on something besides food!

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But avoid using food as the reward. Choose something else that your son enjoys. Click on the title link to see and download the full-size scale. In other words, having food in the belly throughout the day can keep your son from experiencing the feeling of hunger that he needs to recognize. None of these strategies are quick fixes.

We know from research that sleep deprivation can increase production of brain hormones that reduce hunger awareness. Unfortunately sleep disturbances are another common health issue for both children and adults with autism. Both can be downloaded, free of charge, from the Autism Speaks website. However, children with poor hunger awareness or hyperphagia often ask for more food than they need. A visual schedule can help your son keep track.

If he asks for food in between scheduled meals and snacks, reply along the lines of:. Our next meal is in 30 minutes. Smarter food choices While your family eats a healthy diet, it can help to increase the proportion of foods that have lower fat content and do a better job of helping your son feel full.

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These foods include fruits, vegetables and lean protein. Some children need this broken down into a couple of periods of vigorous activity a day, until they can handle a full hour.

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Thanks again for your question. Please let us know how you and your son are doing in the comment section below or by ing us again at gotquestions autismspeaks. Asperger Syndrome Autism Statistics and Facts. Associated Conditions Sensory Issues. Treatments Access Services Insurance.

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Our Mission. Our Grantmaking. Research Programs. Deteccion De Autismo Deteccion Temprana. What Is Autism? Set Your Location. Some children need this broken down into a couple of periods of vigorous activity a day, until they can handle a full hour Thanks again for your question.

Lifestyle behaviours and weight among hospital-based nurses

Science News. Tool kit. Telehealth Tool Kit for Families and Providers. New study links autism traits and eating disorders in moms of autistic children. Study finds higher rates of gender diversity among autistic individuals. Pediatrics journal dedicates supplement publication to autism studies. We're Here to Help Chat with Us. There are no available agents at the moment. You can also reach the Autism Response Team by phone or :en Espanolor help autismspeaks.